| Brief name |
New interdisciplinary, person-centred goal setting process |
| Why |
To replace discipline-siloed goal setting with a shared, person-centred, interdisciplinary process spanning admission to discharge (see Introduction) |
| What (materials) |
Pre-admission information booklet (with specialty-specific insert); revised EPR/paper documentation for long- and short-term goals, tasks and actions; communication aids (e.g., Talking Mats, easy-read materials) |
| What (procedures) |
Pre-admission contact; ‘meet the team’ session; goal capturing meeting (days 2–5); goal, action and care planning meeting/goal-setting conference (within 2 weeks); weekly IDT review; family meetings; peer patient group sessions; pre-discharge meeting |
| Who provided |
Interdisciplinary team members (medical, nursing, HCA and relevant HSCP staff
), with a named key worker where a patient requires additional support to lead their own goal-setting
|
| How |
Face-to-face, individually and collectively (team conferences, family meetings) |
| Where |
Three inpatient units of the National Rehabilitation Hospital |
| When and how much |
Spans pre-admission to discharge and follow-up; goal-setting conference within 2 weeks of admission; weekly review thereafter |
| Tailoring |
Adapted from existing goal-setting frameworks in the literature to the NRH’s mixed diagnostic case-mix and existing family meeting structure (see Introduction, Intervention) |
| Modifications |
Any changes made during the pilot will be logged and reported in the results paper |
